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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department <br /> Date Received e-/,2-/0 Phone Contact for Permitting 0/3 72, -- 33/9 <br /> 111111111111111 LLLt% <br /> Owner's Name O/4 of 2. 4.4 //S Owner Phone Number <br /> Owner's Address 333 '' '7 21011r1 / S fJ 33s'# - Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address / <br /> JOB ADDRESS 370.2r ,9�ry .06/ 0r/ � 2701C/74/71.5 LOT # <br /> SUBDIVISION PARCEL ID# ,6t :ZL %? / ' 0000 'Oi<940D - 0'0/0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN 1 I MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE F SFR I I COMM I 1 OTHER 1 <br /> TYPE OF CONSTRUCTION I 1 BLOCK I I FRAME I 1 STEEL F OTHER 1 <br /> DESCRIPTION OF WORK 1rlli irra ZV // /bra, ‘1 5'e, /C e /et /Ai <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I W.R.E.0 <br /> 863• g A/ Aer 14°6 <br /> PLUMBING $ vl � �Y J.24/ <br /> MECHANICAL $ 'VALUATIlt tOF MECHANICAL INS N <:;.:; 'l <br /> I ROOFING 1 I <br /> GAS SPECIALTY I OTHER <br /> f l I <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> SIGNATURE URI <br /> ELECTRICIAN n COMPANY / �► T �l c e c l r i C <br /> O rr REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address ,39 / / /AA 2.- / 33 Y/6' License# EG DOO) 2Gb' <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N <br /> Address License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R -O -W Permit for new construction. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> * ** *PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000) <br /> ** Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways - Not over Counter if on public roadways..needs ROW <br />